Provider Demographics
NPI:1710491097
Name:YEREMSKY, HEATHER A (LPC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:A
Last Name:YEREMSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WILLOWBROOK RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-1681
Mailing Address - Country:US
Mailing Address - Phone:570-687-7564
Mailing Address - Fax:
Practice Address - Street 1:105 WILLOWBROOK RD UNIT A
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-1681
Practice Address - Country:US
Practice Address - Phone:570-687-7564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-25
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000133101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
38-3992065OtherIRS